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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
January 08, 2020 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
Uses for SOPS surveys
• Raise staff awareness
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
-
www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/apa.html
February 01, 2017 - Event Investigation and Analysis Guide: Appendix A
In this example, there is only one path shown, but answers can create multiple paths and more questions.
Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later.
1st Why:…
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www.ahrq.gov/health-literacy/improve/precautions/tool16a.html
September 01, 2020 - Health Literacy Universal Precautions Toolkit, 2nd Edition
My Medicines Form
Previous Page Next Page
Table of Contents
Health Literacy Universal Precautions Toolkit, 2nd Edition
Introduction
Quick Start Guide
Form a Team: Tool #1
Create a Health Literacy Improvement Plan: Tool #2
Plan-Do-S…
-
www.ahrq.gov/news/newsroom/case-studies/cquips1205.html
October 01, 2014 - Virginia Clinic Uses AHRQ Materials to Educate Patients About Blood Thinners
Search All Impact Case Studies
March 2012
VCU Health Systems' anticoagulation clinic in Richmond, Virginia, is using AHRQ's DVD "Staying Active and Healthy With Blood Thinners" as part of an educational program that helps patients …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix A
Five Whys
In this example, there is only one path shown, but answers can create multiple paths and more questions.
Event Summary: The wrong concentration of potassium (K+) was used in the compounding of TPN. This was discovered almost 2 months later.
1s…
-
www.ahrq.gov/health-literacy/improve/precautions/1stedition/tool17.html
September 01, 2020 - Navigating the Health Care System
Slide Presentation
This PowerPoint presentation describes the kinds of information you can obtain by shadowing a patient.
Slide Presentation
Slide 1. Navigating the Health Care System
A Health Literacy Perspective Through the Eyes of Patients
Ashley B. Hink
UNC Sh…
-
www.ahrq.gov/sops/international/index.html
September 01, 2023 - 43
Hospital 2.0
62
35
Medical Office
38
15
Nursing Home
26
12
Community … Pharmacy
17
11
Ambulatory Surgery Center
15
3
Health Information Technology Patient
-
www.ahrq.gov/health-literacy/improve/precautions/tool13a.html
March 01, 2024 - Health Literacy Universal Precautions Toolkit, 3rd Edition
Navigating the Health Care System
Previous Page Next Page
Table of Contents
Health Literacy Universal Precautions Toolkit, 3rd Edition
Introduction
Quick Start Guide
Form a Team: Tool 1
Assess Organizational Health Literacy and Creat…
-
www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - order (typically from a remote provider); transcribing an
order; communicating an order to remote pharmacies … ; dispensing a medication by one of
several remote pharmacies; transporting the medication to the nursing … Because of top-down communication, poor teamwork between the nursing home and
pharmacies, and unilateral
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator
395
From Insight to Implementation:
Lessons from a Multi-site Trial of
a PDA-based Warfarin Dose Calculator
Richard L. Kravitz, Jonathan D. Neufeld, Michael A. Hogarth,
Debora A. Paterniti, William Dager, …
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Re…
-
www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - name pair’s performance on the cognitive
tests significantly predicted its error rate in two large community … pharmacy chains. … Observational studies of dispensing in
outpatient pharmacies suggest that the rate of wrong-drug errors—the … National observational study of prescription dispensing accuracy and
safety in 50 pharmacies.
-
www.ahrq.gov/sops/resources/index.html
January 01, 2025 - 403 KB) Hospital Version 1.0 (PDF, 519 KB) Medical Office (PDF, 441 KB) Nursing Home (PDF, 911 KB) Community … Pharmacy (PDF, 292 KB) Ambulatory Surgery Center (PDF, 763 KB) Resource Lists for SOPS Supplemental
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - take messages
about medication refills; nurses and medical assistants call or fax prescriptions to pharmacies … for medication orders,
refills, and responses to phone, fax, and e-mail questions from patients and pharmacies
-
www.ahrq.gov/patient-safety/settings/hospital/hai/red/toolkit/ahcp-template-eng.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
-
www.ahrq.gov/patient-safety/resources/resdesign-tool/kit2.html
August 01, 2016 - A Toolkit for Redesign in Health Care: Final Report
Description of Denver Health
Previous Page Next Page
Table of Contents
A Toolkit for Redesign in Health Care: Final Report
Introduction
Description of Denver Health
Forces Which Compel System Redesign/Transformation
Redesi…
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_ig_summary_exsheet.pdf
April 24, 2017 - Summary Skills Practice Exercise Sheet
Summary
Summary Skills Practice Exercise Sheet
INSTRUCTIONS:
1. Break into four small groups. Each group will receive one of four teamwork skill handouts.
2. Read the scenario below.
3. Identify the instances where a breakdown in teamwork has occurred as it rel…
-
www.ahrq.gov/news/newsroom/case-studies/201614.html
October 01, 2016 - AHRQ’s CUSP Helps Sinai Health System Reduce Infections and Medication Errors
Search All Impact Case Studies
October 2016
Mount Sinai Hospital—a Sinai Health System facility in Chicago—used an AHRQ safety program to reduce the rate of central line-associated blood stream infections (CLABSIs) from 2.67 per 1…